The trio of assessment, accreditation, and accountability is at the forefront of higher education today. National organizations serving specific disciplines often establish curricular elements, review degree programs, and provide external accountability of program quality. Sport management has had two external review options in its history, yet few studies have addressed stakeholder attitudes toward these options. Using longitudinal data, this study explored attitudes and familiarity of external review and the impact that formalized accreditation has had on sport management master's programs. Reasons for seeking or refraining from external review remained consistent, as did familiarity with external-review standards. Results suggested a general satisfaction with the evolution from the Sport Management Program Review Council to the Commission on Sport Management Accreditation (COSMA).